Barber Shop Update Form / Salon de Barbier Informatique forme

INSPECTION SERVICES
Board of Barber Examiners of New Brunswick
Bureau des Examinateurs des Barbiers du Nouveau – Brunswick
23 rue Main Street W/O
Saint-John, N-B, E2M 3M9
506-693-6357
Barber Shop Update Form / Salon de Barbier Informatique forme
Name of Shop
Nom de salon de barbier :__________________________________________________
Address / Adresse :_______________________________________________________
_______________________________________________________________________
Name of Owner
Nom de propriétaire: ______________________________________________________
Shop License # / salon permis no:_____________________ expires/expirer:__________
Name of Individuals working
Nom de individu qui fonctionne
Registration #
Immatriculation numéro
Expires
Expirer
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Information has been collected in accordance with the Registered Barbers’ Act ,SNB 2007.
L'information a été rassemblée selon Loi sur les barbiers immatriculés L,N-B 2007.
Signature of Inspector
Date
Signature de l’inspecteur:_____________________________Fait:_____________20___